Laserfiche WebLink
EXHIBIT B <br />SANTA ANA POLICE DEPARTMENT <br />RANGE FACILITY INDIVIDUAL WAIVER OF LIABILITY <br />The City of Santa Ana and the Santa Ana Police Department assume no obligation in <br />offering the use of its Range Facility. There is a possibility of injury occurring when using the <br />Facility. I, the undersigned, acknowledge and affirm that the handling of firearms, or being in the <br />proximity of others using or handling firearms involves a significant risk of serious physical injury <br />including the possibility of death regardless of the skill of the user or the adequacy of supervision <br />or the instructions given. I fully understand and accept that my voluntary signature constitutes a <br />request for permission to use the Facility with knowledge and understanding that I fully assume <br />the risk that I am subject to possible injury at the Facility. <br />I understand that by signing this form: <br />a I understand and agree to assume all risks of physical injury arising out of my use of firearms <br />and other related equipment, or participation, in the activities offered by the City of Santa <br />Ana; <br />b. I am waiving my rights with respect to any injury or damage I may sustain as a result of my <br />use of the Facility, or while on premises when others are using the Facility. I am waiving <br />my right to sue for inadequate instruction, inadequate supervision, faulty equipment, or <br />dangerous condition of the premises. My agreement to waive the right to sue the City of <br />Santa Ana does not extend to fraud or intentional misconduct of the City of Santa Ana or <br />their officers, agents, employees and representatives; <br />c. I agree to indemnify, defend and hold harmless the City of Santa Ana or its officers, agents, <br />employees, and the Santa Ana Police Department fiom any and all damages, claims or losses <br />caused by my use of the Facility. <br />d. I agree to comply with all posted Facility rules and regulations and all orders. <br />I have read this form and fully understand its content. <br />Printed Name Badge # Signature <br />Agency <br />SAPD Witness <br />Date <br />SAPD Witness Signature <br />Page 10 of 10 <br />